Hernandez, Mayra Carolina

Hernandez, Mayra Carolina is an sole proprietor health care provider with primary practice located at 12441 Squaw Valley Ln , Victorville CA 92395-8843. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Hernandez, Mayra Carolina can be contacted via phone (760) 912-0096.

Contact Information

Primary practice address
12441 Squaw Valley Ln Victorville CA 92395-8843
Phone: (760) 912-0096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X VN 192866 California

Profile Details

NPI number 1154469344
LBN Legal business name Hernandez, Mayra Carolina
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2007
Last updated Feb 3rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154469344 NPPES
California Other RVN003720 MEDI-CAL PROVIDER NUMBER

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